DR. COURTNEY E JOHNSON (PH.D) – Clinical Psychologist, NPI 1881764355
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
775 CLINICAL PSYCHOLOGIST in WA
Provider Addresses for DR. COURTNEY E JOHNSON (PH.D)
1420 MARVIN RD NE STE C313
LACEY, WA 985163878
Phone: (316) 337-5432
Fax: (316) 337-5481
Type: Mailing
5137 BLACKTAIL CT NE
OLYMPIA, WA 985162136
Phone: (316) 337-5432
Fax: (316) 337-5481
Type: Location
8100, East 22nd Street North, Minneha, Wichita, Sedgwick County, Kansas, 67226, United States
BLDG 100 STE 2
WICHITA, KS 672262388
Phone: (316) 337-5432
Fax: (316) 337-5481
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040109000854 | I | Clinical Psychologist | KS | TBD |
| I20231221000281 | I | Clinical Psychologist | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 134 | 14 | $0 |
Insurance plans in this area (ZIP 98516)
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